Search results for "Consultations"
MKSAP Quiz: Follow-up for deep venous thrombosis
A 42-year-old man arrives for three-month follow-up of a proximal right leg DVT after right tibia fracture. Thrombophilia evaluation was done, although not recommended by guidelines, and found an elevated plasma homocysteine level; genetic testing then found homozygosity for the C677T methylene tetrahydrofolate reductase (MTHFR) polymorphism. His only medication is warfarin. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/07/17/3.htm
17 Jul 2018
When visits become ‘on the record’
With recording technology becoming ubiquitous, more patients are recording their encounters with physicians, sometimes without their knowledge.
https://immattersacp.org/archives/2018/04/when-visits-become-on-the-record.htm
1 Apr 2018
Temporary quadrupled glucocorticoid dose helps reduce severe asthma exacerbations, study finds
Forty-five percent of patients in a quadrupling group versus 52% of patients in a nonquadrupling group had a severe exacerbation in the year after randomization.
https://immattersacp.org/weekly/archives/2018/03/13/2.htm
13 Mar 2018
Clarifying issues for telehealth services
Beginning in January 2018, Medicare will pay for certain telehealth services for patients who are enrolled in Part B and live in a Health Professional Shortage Area or in a county that is not included in a metropolitan statistical area.
https://immattersacp.org/archives/2018/01/clarifying-issues-for-telehealth-services.htm
1 Jan 2018
PCP/EMS collaboration appeared to reduce ED visits for assisted-living residents who fall
In the intervention, paramedics responding to a fall followed a protocol that involved phone consultation with a physician and that assigned patients to one of three tiers based on their need for additional care.
https://immattersacp.org/weekly/archives/2017/12/12/2.htm
12 Dec 2017
Resource use, outcomes of hospitalization may be associated with care continuity
Patients were more likely to be discharged home if they were cared for by their primary care physician versus by a hospitalist, while patients cared for by other generalists were less likely to be discharged home than patients cared for by hospitalists.
https://immattersacp.org/weekly/archives/2017/11/21/4.htm
21 Nov 2017
Adapting primary care to include transgender patients
The best way to treat transgender individuals in the ambulatory care setting involves coordination headed by culturally competent primary care.
https://immattersacp.org/archives/2017/11/adapting-primary-care-to-include-transgender-patients.htm
1 Nov 2017
High-value care a focus at Hospital Medicine 2017
Hospital Medicine 2017 featured advice on providing high-value care, from how to talk about the concept with patients to which tests and screens to give and which drugs to stop.
https://immattersacp.org/archives/2017/07/high-value-care-a-focus-at-hospital-medicine-2017.htm
1 Jul 2017
Whole-genome sequencing finds rare genetic disease risk in 1 of 5 healthy adults
While some primary care physicians may be able to manage genomic information appropriately, findings could prompt increased health care use with limited clinical value, the researchers said.
https://immattersacp.org/weekly/archives/2017/06/27/2.htm
27 Jun 2017
Human Diagnosis Project named semifinalist in MacArthur Foundation competition
Human Dx, supported by the American College of Physicians and several other medical societies and boards, will deliver an open, online system that provides public health and safety net institutions access to subspecialty medical expertise, helping to close a critical gap in access for uninsured patients.
https://immattersacp.org/weekly/archives/2017/02/28/6.htm
28 Feb 2017